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CONTINUATION SHEET
<br />Page 3of3
<br />Application and Certification for Payment, containing
<br />Application No.:
<br />1B
<br />Contractor's signed cerification is attached.
<br />Application Date:
<br />11130120
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />To:
<br />11130120
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />Architects Project No.:
<br />Invoice # : 9520003318 Contract :
<br />19520.0033 Elk River Multi -Purpose Facility and Lion John Weicht Park
<br />A
<br />B
<br />C
<br />D
<br />E
<br />F
<br />G
<br />H
<br />E_
<br />Item
<br />Description of Work
<br />Scheduled
<br />Work Completed
<br />Materials
<br />Total
<br />%
<br />Balance 1
<br />Retainage
<br />No.
<br />value
<br />From Previous
<br />This Period
<br />Presently
<br />Completed
<br />(G I C)
<br />To Finish
<br />Applicatlon
<br />In Place
<br />Stored
<br />and Storedj
<br />(C•G)
<br />(D+E)
<br />To Date
<br />Hot in D or El
<br />D+E+
<br />318
<br />Lions Earthwork
<br />508,490 67
<br />506,490.67
<br />0.00
<br />0.00
<br />506,490.67
<br />100.00%'
<br />0.00.
<br />12,654.14
<br />32A
<br />1 Asphalt Paving
<br />294,509.001
<br />294,509.00
<br />0.00
<br />0.001
<br />294,509.00
<br />100.00%
<br />0.00 ;
<br />7,388.22
<br />326
<br />Concrete/Sidewalk/Curb/Gutter
<br />389,142.50
<br />389,142.50;
<br />0.00 i
<br />0.00
<br />389,142.50 _
<br />100.00%
<br />0.001
<br />9,839.28
<br />32C
<br />Multipurpose Landscaping
<br />27,000.00
<br />27,000 W
<br />0.00
<br />0.00
<br />27,000.00
<br />100.00%1
<br />0.00
<br />675.00
<br />32D'
<br />Lions Landscaping
<br />96,460.00
<br />94,480.001
<br />1,980.00
<br />0.00
<br />96,460.00
<br />100.00%'
<br />000
<br />2461.00
<br />32E
<br />Chain Link Fence
<br />150,325 79 (
<br />150,325.79
<br />0.00
<br />0.00
<br />150,325.79
<br />100.00%
<br />0.00'
<br />3:758.15
<br />33A
<br />Utilities
<br />635,496 55
<br />635,496 55
<br />0.00 =
<br />0.00
<br />635,496.551
<br />100.00%
<br />0.00'
<br />15,B87.41
<br />3B.1
<br />Precast Concrete
<br />1,182,922.00
<br />1,182,922 0W
<br />0.00
<br />0.00
<br />1,182,922.00 _
<br />100.00%,
<br />0.00.
<br />29,573.05
<br />38.2
<br />Precast Concrete
<br />930,000.00
<br />930,000 00
<br />0.00
<br />0.00
<br />930,000.00 '
<br />100.00%
<br />0.00
<br />23,250.00
<br />3B.3
<br />Precast Raker/Plank/Stadia
<br />1,048,025.00
<br />1,048,025.001
<br />0.00
<br />0.00
<br />1,048,025.00
<br />100 00% =
<br />0.001
<br />26,200.62
<br />01-00
<br />General Conditions/Requirements
<br />1,263,722.63 1
<br />1,260,306.92
<br />3,086 92
<br />0.00
<br />1,263.393.84
<br />99.97%
<br />328.791
<br />0.00
<br />90-50
<br />General Liability Insurance
<br />268,451.52
<br />268,451.52' °
<br />0.00
<br />0.001
<br />268,451.52 1
<br />100.00%
<br />0.00
<br />0.00
<br />90-60
<br />Construction Contingency
<br />73,554 87 1
<br />0 00 �
<br />0.00
<br />0.00
<br />0.00 =
<br />0.00%
<br />73,654.87
<br />0.00
<br />90-80
<br />Builders Risk Insurance
<br />65,184 58
<br />65,184 58
<br />0.00
<br />0.00;
<br />65,184.58
<br />100.00%
<br />0.00
<br />0.00 1
<br />99-99
<br />Contractors Fee
<br />489,303.961
<br />3
<br />489,303.96t
<br />0.00 -
<br />0.00
<br />489,303.961
<br />100.00%
<br />3�
<br />I
<br />0.00,
<br />t
<br />12,293.76
<br />Grand Totals
<br />26,501,607.40 1
<br />26,417,658.23
<br />9,965.51 (
<br />0.00 26,427,623,74
<br />99.72%
<br />73,983 66 620,942.60
<br />
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